Jump to topic Exemption and Water Use Plans application form Exemption and Water Use Plans application form 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. Important informationPermanent water-saving rules are always in place to help us use water efficiently. Water corporations sometimes use water restrictions to help manage urban water use.A Water Use Plan controls the use of water for specific purposes or for a specific stage of restrictions. It helps you maximise your water-savings during restrictions.In special circumstances, you can request an exemption from some permanent water saving rules or a stage of water restrictions. If these circumstances apply to you, you can apply for an exemption.Use this form to apply for:an exemption to permanent water-saving rules or a stage of water restrictionsa Water Use PlanA Water Use Plan will only be approved if:the water use described in the plan is permitted under the relevant stage of restrictionsthe Water Use Plan is part of a water restriction exemption applicationAll fields are required unless marked as 'optional' or 'if applicable'.If you need support in another language, call 1800 050 500. Applicant information Choose the category that describes your application: I am applying as a residential customer I am applying on behalf of a: business, company, industry, commercial or institutional organisation I am applying on behalf of a: council, public or private school, sportsground, public garden, tennis club Type of exemption or Water Use Plan (Optional) Important informationA Water Use Plan will only be approved if:the water use described in the plan is allowed under the relevant stage of restrictionsthe Water Use Plan is part of a water restriction exemption applicationChoose the type of exemption or Water Use Plan you are applying for: Medical exemption from using a trigger nozzle Water a residential garden or lawn outside of set times Garden of Significance Water new warm season grass Residential pool or spa Residential pond or lake Construction or hard surface cleaning General residential water use Documents requiredTo submit an exemption for residential pools or spas you will need to upload either:receipts for water saving products you've purchaseda Victorian Building Authority (VBA) Compliance CertificateA VBA Compliance Certificate is issued for plumbing work that follows the relevant plumbing standards for Victoria. Only a licensed plumber can issue this certificate. For more information, visit the Victorian Building Authority website.You'll need to have these documents ready as you will be asked to upload them as part of your application. Exemption reason (Optional) To protect public health or safety To avoid a loss of livelihood To minimise damage to property Medical grounds (a signed medical certificate required) Other Please provide as much detail as possible below. Other exemption reason (Optional) Documents requiredA Garden of Significance (GoS) is a public or private garden with significant botanic, environmental or historic qualities.It must be at least one of the following:The garden is listed on a national or state-wide register.The garden is important to the local community because of its unique or diverse plant life.The garden is ingrained in the life of the local community.To successfully complete this application you will be asked to supply: at least one photo of the garden any supporting documents that explain the garden's trees and plants in moredetail.You'll need these documents ready as you will be asked to upload them as part of this application.You will also need access to the last three years of your water usage. Use your bills for the last three years to calculate your annual water consumption (in kiloliters) for each year.You'll need to have your bills from the last three years ready to calculate your water consumption. Length of exemption (Optional) Temporary Permanent Proposed exemption start date (Optional) The exemption will commence on the date this application is approved by us.You’ll need to wait until your exemption is approved before you start to use water for your applied purpose. Proposed exemption end date (Optional) Please noteThe exemption will commence on the date this application is approved by Gippsland Water.You’ll need to wait until your exemption is approved before you start to use water for your applied purpose. Type of exemption or Water Use Plan Choose the type of exemption or Water Use Plan you are applying for: (Optional) Important informationA Water Use Plan will only be approved if:the water use described in the plan is allowed under the relevant stage of restrictionsthe Water Use Plan is part of a water restriction exemption application. A public garden or lawn (that is not a Garden of Significance) Garden of Significance A nursery or market garden Playing surface (sportsgrounds or ovals) Tennis club A commercial car wash A commercial or public pool or spa A pond, lake, dam or tank Construction or hard surface cleaning Dust suppression General for non-residential water use Type of exemption or Water Use Plan (Optional) A public garden or lawn (that is not a Garden of Significance) Garden of Significance A nursery or market garden Playing surface (sportsgrounds or ovals) Tennis club A commercial or public pool or spa A pond, lake, dam or tank Construction or hard surface cleaning Dust suppression General for non-residential water use Trade waste agreement (Optional) Please noteA commercial car wash exemption requires a Trade Waste Agreement with us. Do you already have a Trade Waste Agreement? Yes Please enter the agreement number below. No Trade waste reference number (Optional) Enter your Trade Waste Agreement number Which method will you use to prepare your Water Use Plan? (Optional) This exemption requires a Water Use Plan. This can be prepared either in accordance with the Water Rating Scheme (developed by the Smart Water Fund and the Australian Car Was Association), or independently.Further information via the Water Rating Scheme website or via the Australian Car Wash Association website. Option 1: Water Rating Scheme submission Option 2: Independently prepared submission Water Rating Scheme submission (Optional) You must apply directly to the Water Rating Scheme. Once you have received your acceptance paperwork from the Water Rating Scheme, please upload copies of the completed form here to continue with your exemption application. You may upload up to four files.Maximum 4 files.4 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, pdf, doc, docx, ppt, zip. You need to establish a Trade Waste Agreement with Gippsland Water before you can apply for a commercial car wash exemption.Establish a Trade Waste Agreement Documents requiredTo successfully submit an application for a public garden or lawn, you will need access to the last three years of your water usage.Use your bills for the last three years to calculate your annual water consumption (in kiloliters) for each year.You'll need to have your bills from the last three years ready to calculate your water consumption. Documents requiredTo successfully submit an application for a tennis club, you will need access to the last three years of your water usage.Use your bills for the last three years to calculate your annual water consumption (in kiloliters) for each year. You'll need to have your bills from the last three years ready to calculate your water consumption. Proposed exemption start date (Optional) Proposed exemption end date (Optional) Please noteThe exemption will commence on the date this application is approved by Gippsland Water.You’ll need to wait until your exemption is approved before you start to use water for your applied purpose. Important informationA Water Use Plan will only be approved if:the water use described in the plan is allowed under the relevant stage of restrictionsthe Water Use Plan is part of a water restriction exemption application. Leave this field blank (Optional)
